Massachusetts Nongroup Health Plan Membership Highlights


2006 2007
Membership in Nongroup Health Plans 1 48,11725,049

Membership in Nongroup Closed Guaranteed Issue Health Plans: 2
Blue Cross and Blue Shield of Massachusetts, Inc. 3 33,44218,417
Commercial Carriers 4036
Health Maintenance Organizations 8,3553,551

TOTAL 41,83722,004

Membership in Nongroup Closed Guaranteed Issue Health Plans that were offered Only on a Group Conversion Basis: 4
Blue Cross and Blue Shield of Massachusetts, Inc.NANA
Commercial Carriers3022
Health Maintenance OrganizationsNANA

TOTAL 3022

Membership in Closed Nongroup Health Plans: 5
Blue Cross and Blue Shield of Massachusetts, Inc.3,147662
Commercial Carriers1,8681,518
Health Maintenance Organizations1,235843

TOTAL 6,2503,023

GRAND TOTAL 48,111725,049

Dec 2006 Dec 2007
Carriers that offered Nongroup Guaranteed Issue Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.10
Commercial Carriers70
Health Maintenance Organizations90

GRAND TOTAL: 170

Carriers Insuring Massachusetts Residents in
"Closed" Nongroup Health Plans
Blue Cross and Blue Shield of Massachusetts, Inc.11
Commercial Carriers2929
Health Maintenance Organizations77

GRAND TOTAL: 3737

1Membership statistics are based on 2006 and 2007 Membership Reports currently on file with the Division of Insurance ("Division").

2Represents membership in closed guaranteed issue nongroup health plans subject to M.G.L. c. 176M issued by a carrier after November 1, 1997 but before July 1, 2007excluding membership in closed guaranteed issue health plans available only on a group conversion basis (please see separate line for this information). Beginning November 1, 2001, carriers were permitted to offer alternate plans in addition to standard guaranteed issue plans; Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., Fallon Community Health Plan, Inc., Health New England, Inc. and Harvard Pilgrim Health Care, Inc. offered such plans in 2007 accounting for 11,485 members.

3Membership statistics include both Blue Cross and Blue Shield of Massachusetts, Inc. and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.

4Represents membership in closed guaranteed issue health plans subject to M.G.L. c. 176M issued by a carrier after November 1, 1997 but beforeJuly 1, 2007 issued only on a group conversion basis. Please see separate report for membership in closed guaranteed issue health plans available to all eligible persons.

5 Represents membership in closed plans. According to M.G.L. c. 176M §1 a "closed plan" is defined as a "nongroup health plan issued by a carrier to a natural person for said person, as well as any covered dependents, prior to the first day of the first open enrollment period." (October 1, 1997).